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Test Code lab1231752 Methemoglobin and Sulfhemoglobin, Blood

Important Note

Mayo code MET

Performing Laboratory

Mayo Clinic Laboratories in Rochester

Reporting Name

Methemoglobin and Sulfhemoglobin, B

Specimen Type

Whole Blood EDTA


Shipping Instructions


Specimen must arrive within 72 hours of collection.



Necessary Information


Patient's age is required.



Specimen Required


Container/Tube: Lavender top (EDTA)

Specimen Volume: Full tube

Collection Instructions: Send whole blood specimen in original tube. Do not aliquot.

Additional Information: Patient's age is required.


Reject Due To

Gross hemolysis Reject

Specimen Stability Information

Specimen Type Temperature Time
Whole Blood EDTA Refrigerated 72 hours

Specimen Minimum Volume

1 mL

Day(s) Performed

Monday through Saturday

Specimen Retention Time

7 days

Report Available

Same day/1 to 3 days

Reference Values

METHEMOGLOBIN

0-11 months: Not established

≥1 year: 0.0-1.5% of total hemoglobin

 

SULFHEMOGLOBIN

0-11 months: Not established

≥1 year: 0.0-0.4% of total hemoglobin

Useful For

Diagnosing methemoglobinemia and sulfhemoglobinemia

 

Identifying cyanosis due to other causes, such as congenital heart disease

CPT Code Information

83050-Methemoglobin

83060-Sulfhemoglobin

LOINC Code Information

Test ID Test Order Name Order LOINC Value
MET Methemoglobin and Sulfhemoglobin, B 98902-0

 

Result ID Test Result Name Result LOINC Value
8268 Methemoglobin, B 2614-6
8272 Sulfhemoglobin, B 4685-4

Method Description

Methemoglobin:

The normal absorption spectrum of oxyhemoglobin has very little optical density above 600 nm. The absorption spectrum of methemoglobin exhibits a small, characteristic peak at 630 nm. This peak is abolished as methemoglobin is converted to cyanmethemoglobin upon addition of potassium cyanide, and the drop in optical density is proportional to methemoglobin concentration.

 

Sulfhemoglobin:

The normal absorption spectrum of oxyhemoglobin has very little optical density above 600 nm. However, if certain poorly defined hemoglobin denaturation products are present in a hemolysate, there is a broad elevation of the absorption curve in the range of 600 nm to 620 nm. This sulfhemoglobin plateau is not affected by treatment with cyanide. Sulfhemoglobin is not available, nor can it be prepared, in a pure form for preparation of a sulfhemoglobin standard. In calculating sulfhemoglobin concentration, the factor for sulfhemoglobin quantitation is based on studies of Carrico, et al.(Evelyn KA, Malloy HT. Microdetermination of oxyhemoglobin, methemoglobin, and sulfhemoglobin in a single sample of blood. J Biol Chem. 1938;126:655-662; Carrico RJ, Peisach J, Alben JO. The preparation and some physical properties of sulfhemoglobin. J Analyt Biochem. 1978;253[10]:2386-2391; So JCC, Ma ESK. Hemoglobin and hemoglobinopathies. In: Rifai N, Chiu RWK, Young I, Burnham CAD, Wittwer CT, eds. Tietz Textbook of Laboratory Medicine. Elsevier; 2023:chap 77)

Profile Information

Test ID Reporting Name Available Separately Always Performed
METH Methemoglobin, B No Yes
SULF Sulfhemoglobin, B No Yes

Forms

If not ordering electronically, complete, print, and send a Benign Hematology Test Request Form (T755) with the specimen.